Provider Demographics
NPI:1801836002
Name:GARVEY, CHAD PHILLIP (PT)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:PHILLIP
Last Name:GARVEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:325 E LEWIS AND CLARK PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-1725
Mailing Address - Country:US
Mailing Address - Phone:122-833-2318
Mailing Address - Fax:812-283-3271
Practice Address - Street 1:325 E LEWIS AND CLARK PKWY STE 100
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-1725
Practice Address - Country:US
Practice Address - Phone:812-283-3231
Practice Address - Fax:812-283-3271
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3961225100000X, 2251X0800X
IN05007637A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic